HoLEP (Holmium Laser Enucleation of Prostate) is a modern, minimally invasive surgical method used to treat benign prostatic hyperplasia (BPH). It involves removing prostate tissue through the urethra using a laser, without making an incision. Many experts today consider it one of the "gold standard" treatment options.
The low risk of bleeding, rapid recovery, and applicability even to large prostates are among the key advantages that make this method stand out.
What is Prostate Enlargement (BPH)?
Prostate enlargement, medically known as Benign Prostatic Hyperplasia (BPH), is a condition where the prostate gland increases in volume with age. It usually begins after age 45 and becomes more pronounced with advancing age.
BPH is a benign condition and not cancer. However, an enlarged prostate can put pressure on the urethra, negatively affecting urinary function.
What are the Symptoms of BPH?
Individuals with prostate enlargement may experience the following symptoms:
Weakened urine flow
Difficulty urinating
Feeling that the bladder is not completely empty
Frequent urination
Waking up at night to urinate (nocturia)
Urgent need to urinate
Intermittent urination
These symptoms can seriously affect quality of life.
How is BPH Diagnosed?
The diagnostic process generally consists of the following steps:
Evaluation of complaints
Physical examination
PSA (Prostate Specific Antigen) test
Urine flow test (uroflowmetry)
Ultrasonography
Cystoscopy if necessary
Based on these evaluations, the appropriate treatment method is determined.
How is HoLEP Prostate Surgery Performed?
HoLEP surgery is a minimally invasive procedure performed under general or spinal anesthesia.
Procedure Stages:
Introduction: Special endoscopic devices are inserted through the urethra.
Laser Use: Prostate tissue is separated from its capsule using a holmium laser.
Tissue Removal: The separated prostate tissue is pushed into the bladder.
Morcellation: It is broken down and removed from the body.
With this method, prostate tissue can be completely removed, and urinary flow can be relieved.
What are the Advantages of HoLEP Surgery?
The HoLEP method offers many advantages:
It is performed without incisions.
The risk of bleeding is low.
It provides effective results in large prostates (over 80 grams).
The hospital stay is short.
Catheterization time is generally shorter.
A quick return to daily life is possible.
It generally has no negative effect on erection (erectile function).
These features are the factors that make HoLEP stand out in modern prostate surgery.
HoLEP Post-Operative Recovery Process
The post-operative period is generally comfortable:
Short-term catheterization may be necessary.
Mild burning and frequent urination may occur in the first few days.
Drinking plenty of fluids is recommended.
Heavy exercise should be avoided for a while.
Most patients can return to normal life in a short time.
What are the BPH Treatment Methods?
Different methods can be used in the treatment of prostate enlargement:
Drug therapy: Preferred for mild symptoms.
TUR (Transurethral Resection): Classic closed surgical method.
Laser treatments: Vaporization and enucleation methods.
Open surgery: May be preferred for very large prostates.
HoLEP and ThuLEP: Current and advanced closed surgical methods.
The choice of treatment is determined according to the patient's condition and the severity of symptoms.
Who is HoLEP Suitable For?
HoLEP surgery is generally a suitable option for:
Those who do not benefit from drug therapy.
Patients with moderate and advanced BPH.
Individuals with large prostate volume.
Those who experience frequent urinary tract obstruction.
Is HoLEP Surgery Permanent?
Because HoLEP removes a large portion of the prostate tissue, the results are long-lasting. The need for repeat surgery is lower compared to other methods.
Conclusion
HoLEP prostate surgery is an effective, safe, and modern surgical method for treating benign prostatic hyperplasia. Its lack of incisions, low risk of complications, and rapid recovery make it a frequently preferred method today.
When performed with the right patient selection and appropriate technique, it can significantly alleviate urinary symptoms and improve quality of life.